Provider Demographics
NPI:1396752432
Name:SHON, FLOYD GILBERT (MD)
Entity type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:GILBERT
Last Name:SHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CREEK RD STE 130
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4724
Mailing Address - Country:US
Mailing Address - Phone:949-855-2772
Mailing Address - Fax:949-612-9171
Practice Address - Street 1:37 CREEK RD STE 130
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4724
Practice Address - Country:US
Practice Address - Phone:949-855-2772
Practice Address - Fax:949-612-9171
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85470207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85470OtherSTATE LICENSE
WG85470AMedicare PIN
CAH03438Medicare UPIN
CA5810540001Medicare NSC
W21763Medicare PIN
CAG85470OtherSTATE LICENSE
WG85470AMedicare PIN